Document Detail


Asthma medication adherence: the role of God and other health locus of control factors.
MedLine Citation:
PMID:  23352524     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Medication adherence is an important determinant of disease outcomes, yet medication use on average tends to be low among patients with chronic conditions, including asthma. Although several predictors of non-adherence have been assessed, more research is needed on patients' beliefs about God and how these relate to medication use.
OBJECTIVE: To examine the relationship between perceptions about "God's" role in health and other locus of control factors with inhaled corticosteroid (ICS) adherence among asthma patients.
METHODS: Participants were from a clinical trial to improve ICS adherence and were 5-56 years old, had a diagnosis of asthma, and were receiving ICS medication. Baseline adherence was estimated from electronic prescription and pharmacy fill records. Patients were considered to be adherent if ICS use was ≥80% of prescribed. A baseline survey with the Multidimensional Health Locus of Control scale was used to assess five sources (God, doctors, other people, chance, and internal).
RESULTS: Medication adherence was low (36%). Patients' who had a stronger belief that God determined asthma control were less likely to be adherent (odds ratio [OR] 0.82, 95% confidence interval [CI] 0.70-0.96). This relationship was stronger among African American (OR 0.68, 95% CI0.47-0.99) compared to white patients (OR 0.89, 95% CI 0.75-1.04), and among adults (OR 0.81, 95% CI 0.69-0.96) compared to children (OR 0.84, 95% CI 0.58-1.22).
CONCLUSION: Patients' belief in God's control of health appears to be a factor in asthma controller use, and therefore should be considered in physician-patient discussions concerning course of treatment.
TRIAL REGISTRATION: ClinicalTrials.gov: NCT00459368.
Authors:
Brian K Ahmedani; Edward L Peterson; Karen E Wells; Cynthia S Rand; L Keoki Williams
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-12-07
Journal Detail:
Title:  Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology     Volume:  110     ISSN:  1534-4436     ISO Abbreviation:  Ann. Allergy Asthma Immunol.     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-28     Completed Date:  2013-04-02     Revised Date:  2014-02-04    
Medline Journal Info:
Nlm Unique ID:  9503580     Medline TA:  Ann Allergy Asthma Immunol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  75-9.e2     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.
Data Bank Information
Bank Name/Acc. No.:
ClinicalTrials.gov/NCT00459368
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Asthma / drug therapy*,  psychology
Child
Child, Preschool
Female
Humans
Male
Medication Adherence / psychology*
Middle Aged
Religion*
Grant Support
ID/Acronym/Agency:
R01 AI079139/AI/NIAID NIH HHS; R01 DK064695/DK/NIDDK NIH HHS; R01 HL079055/HL/NHLBI NIH HHS; R01AI061774/AI/NIAID NIH HHS; R01AI079139/AI/NIAID NIH HHS; R01DK064695/DK/NIDDK NIH HHS; R01HL079055/HL/NHLBI NIH HHS
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